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CHP PANAMA CITY FL TENANT CORP. - Florida Company Profile

Company Details

Entity Name: CHP PANAMA CITY FL TENANT CORP.
Jurisdiction: FLORIDA
Filing Type: Foreign Profit
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 17 Jun 2015 (10 years ago)
Document Number: F15000002645
FEI/EIN Number 47-4304726

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 450 S. ORANGE AVENUE, 14TH FLOOR, ORLANDO, FL, 32801
Mail Address: P.O. BOX 4920, ORLANDO, FL, 32801, US
ZIP code: 32801
County: Orange
Place of Formation: DELAWARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1861119943 2022-10-20 2022-10-20 2573 BARRINGTON CIR, TALLAHASSEE, FL, 323086805, US 95 GRAND HERON DR, PANAMA CITY BEACH, FL, 324072553, US

Contacts

Phone +1 850-434-3232

Authorized person

Name SETH WALKER
Role CFO, SRIM
Phone 8505837990

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 113534700
State FL

Key Officers & Management

Name Role Address
BRACCO TRACEY B Seni 450 S. ORANGE AVENUE, ORLANDO, FL, 32801
DUARTE IXCHELL C Seni 450 S. ORANGE AVENUE, ORLANDO, FL, 32801
Mauldin Stephen H President 450 S. ORANGE AVE, ORLANDO, FL, 32801
Rawls Kaki Secretary 450 S. ORANGE AVENUE, ORLANDO, FL, 32801
Rawls Kaki Vice President 450 S. ORANGE AVENUE, ORLANDO, FL, 32801
McRae John Secretary 450 S. ORANGE AVENUE, ORLANDO, FL, 32801
McRae John Vice President 450 S. ORANGE AVENUE, ORLANDO, FL, 32801
BRACCO TRACEY B Agent 450 S. ORANGE AVENUE, ORLANDO, FL, 32801

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000011056 SUPERIOR RESIDENCES OF PANAMA CITY BEACH ACTIVE 2021-01-22 2026-12-31 - 2573 BARRINGTON CIRCLE, TALLAHASSEE, FL, 32308

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-11-18 450 S. ORANGE AVENUE, 14TH FLOOR, ORLANDO, FL 32801 -
REGISTERED AGENT NAME CHANGED 2021-11-18 BRACCO, TRACEY B -
REGISTERED AGENT ADDRESS CHANGED 2021-11-18 450 S. ORANGE AVENUE, 14TH FLOOR, ORLANDO, FL 32801 -

Documents

Name Date
ANNUAL REPORT 2024-03-04
ANNUAL REPORT 2023-04-19
ANNUAL REPORT 2022-04-05
Reg. Agent Change 2021-11-18
ANNUAL REPORT 2021-03-11
ANNUAL REPORT 2020-03-30
ANNUAL REPORT 2019-04-03
ANNUAL REPORT 2018-03-28
ANNUAL REPORT 2017-03-22
ANNUAL REPORT 2016-03-31

Date of last update: 02 Mar 2025

Sources: Florida Department of State